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Organization

CARDIOVASCULAR HEALTH CONSULTANTS PA

Active
Other names
North Florida Heart
Organization subpart
No

Provider details

NPI number
Authorized official
PRESTON T GREEN MD (PHYSICIAN)
(352) 332-5755
Entity
Organization

Contact information

Practice address
13575 NW 1ST LN STE 20, NEWBERRY, FL 32669-3735
(352) 332-5755
(855) 964-1167
Mailing address
13575 NW 1ST LN STE 20, NEWBERRY, FL 32669-3735
(352) 332-5755
(855) 964-1167

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24544
BLUE CROSS BLUE SHIELD
FL
01
DG3096
RAILROAD MEDICARE
01
S1027207
AVMED GROUP
FL
Enumeration date
05/30/2006
Last updated
11/08/2024
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